“ The bladder is punctured by bone fragments, typically from an adjacent pelvic fracture. Managed conservatively. CT CYSTOGRAM • The bladd...
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The bladder is punctured by bone fragments, typically from an adjacent pelvic fracture. Managed conservatively.
CT CYSTOGRAM
• The bladder is catheterised and drained prior to distension (i.e. 250-300 mL) with dilute (e.g. 5%-10% Omnipaque 350) contrast.
• Look for leak of contrast from the lateral bladder base; leak may extend into the abdominal wall, thigh or scrotum.
URETHROGRAM
• Check for urethral injury (common with extra-peritoneal rupture), usually posterior urethra.
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